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					<div class="stl_01" style="left:37.45em;top: 6.0102em; "><span class="stl_07 stl_08 stl_09" style="word-spacing:0.0016em;">Q/JCSY 1002</span><span class="stl_10 stl_11 stl_12">—</span><span class="stl_07 stl_08 stl_13">2018 &nbsp;</span></div>
					<div class="stl_01" style="left:7.66em;top: 8.923em; "><span class="stl_14 stl_08 stl_15"> &nbsp;</span></div>
					<div class="stl_01" style="left:18.595em;top: 8.6738em; "><span class="stl_16 stl_08 stl_17" style="font-weight:bold;">高低压配电室第一种工作票 &nbsp;</span></div>
					<div class="stl_01" style="left:27.91em;top: 11.268em; "><span class="stl_07 stl_08 stl_18">编号:__</span><span class="stl_19 stl_08 stl_20" style="font-style:italic; word-spacing:0.0007em;">编号需连续，格式：2018 10 001 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 12.6354em; "><span class="stl_21 stl_08 stl_12">1.工作任务：</span><span class="stl_22 stl_08 stl_12" style="font-style:italic;">检修或作业内容，如：TM1</span><span class="stl_22 stl_08 stl_23" style="font-style:italic;">9</span><span class="stl_22 stl_08 stl_12" style="font-style:italic;">变</span><span class="stl_22 stl_08 stl_12" style="font-style:italic;">压器油泵线缆更换 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 13.9354em; "><span class="stl_21 stl_08 stl_12">2.计划工作时间：自 &nbsp;</span></div>
					<div class="stl_01" style="left:11.91em;top: 15.2354em; "><span class="stl_21 stl_08 stl_12">至</span></div>
					<div class="stl_01" style="left:14.535em;top: 13.9354em; "><span class="stl_21 stl_08 stl_12">年</span></div>
					<div class="stl_01" style="left:14.535em;top: 15.2354em; "><span class="stl_21 stl_08 stl_12">年</span></div>
					<div class="stl_01" style="left:17.16em;top: 13.9354em; "><span class="stl_21 stl_08 stl_12">月</span></div>
					<div class="stl_01" style="left:17.16em;top: 15.2354em; "><span class="stl_21 stl_08 stl_12">月</span></div>
					<div class="stl_01" style="left:19.785em;top: 13.9354em; "><span class="stl_21 stl_08 stl_12">日</span></div>
					<div class="stl_01" style="left:19.785em;top: 15.2354em; "><span class="stl_21 stl_08 stl_12">日</span></div>
					<div class="stl_01" style="left:22.41em;top: 13.9354em; "><span class="stl_21 stl_08 stl_12">时</span></div>
					<div class="stl_01" style="left:22.41em;top: 15.2354em; "><span class="stl_21 stl_08 stl_12">时</span></div>
					<div class="stl_01" style="left:25.035em;top: 13.9354em; "><span class="stl_21 stl_08 stl_12">分</span></div>
					<div class="stl_01" style="left:25.035em;top: 15.2354em; "><span class="stl_21 stl_08 stl_12">分</span></div>
					<div class="stl_01" style="left:5.91em;top: 16.5354em; "><span class="stl_21 stl_08 stl_12">3.申请部门：</span><span class="stl_22 stl_08 stl_12" style="font-style:italic; word-spacing:0.5em;">检修或作业发起部门 </span><span class="stl_21 stl_08 stl_12">部门负责人：</span><span class="stl_22 stl_08 stl_12" style="font-style:italic;">部门部长 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 17.8354em; z-index:161; "><span class="stl_21 stl_08 stl_12" style="word-spacing:-0.22em;">3. 工作负责人（监护人</span><span class="stl_21 stl_08 stl_24">）</span><span class="stl_21 stl_08 stl_24">： &nbsp;</span></div>
					<div class="stl_01" style="left:7.035em;top: 19.1354em; "><span class="stl_21 stl_08 stl_12">工作班人员： &nbsp;</span></div>
					<div class="stl_01" style="left:16.785em;top: 19.1354em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:1em;">共 人 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 20.4354em; z-index:186; "><span class="stl_21 stl_08 stl_12" style="word-spacing:-0.22em;">4. 工作条件（停电范围等</span><span class="stl_21 stl_08 stl_24">）</span><span class="stl_21 stl_08 stl_12">：</span><span class="stl_22 stl_08 stl_12" style="font-style:italic;">检修对应的停电线路及开关屏柜 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 21.7354em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:-0.22em;">5. 安全措施 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 23.0754em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic; word-spacing:0.96em;">应拉开关和刀闸，包括填写前已拉开关和倒闸（注明编号） 已拉开关和刀闸（注明编号） &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 24.4205em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic;">应装接地线（注明地点） &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 25.7604em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic;">应装设遮拦，应挂标识牌 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 27.1004em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic;">......... &nbsp;</span></div>
					<div class="stl_01" style="left:26.505em;top: 24.4205em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic;">已装接地线（注明接地线编号和装设地点） &nbsp;</span></div>
					<div class="stl_01" style="left:26.505em;top: 25.7604em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic;">已设遮拦，已挂标示牌（注明地点） &nbsp;</span></div>
					<div class="stl_01" style="left:26.505em;top: 27.1004em; "><span class="stl_25 stl_08 stl_12" style="font-style:italic;">工作地点保留带电部分和补充安全措施等 &nbsp;</span></div>
					<div class="stl_01" style="left:26.505em;top: 28.4454em; "><span class="stl_21 stl_08 stl_12">工作许可人签名： &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 28.4454em; "><span class="stl_21 stl_08 stl_12">工作票审核人签名： &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 29.7454em; "><span class="stl_21 stl_08 stl_12">工作票签发人签名： &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 31.0854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.28em;">6. 工作风险 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 32.3854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">1) 高压操作可能因为操作不当造成事故； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 33.6854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">2) 登高作业可能因为操作不当造成事故； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 34.9854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">3) 进入电缆隧道、电缆井、电缆沟道、电缆夹层等作业时可能因为操作不当造成事故； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 36.2853em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">4) 进户隔离刀闸操作可能出现拉弧； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 37.5853em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">5) 检修完毕后可能导致工具遗漏； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 38.8853em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">6) 使用酒精保养可能导致火灾。 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 40.1853em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.28em;">7. 注意事项 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 41.4852em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">1) 确认实际作业人员具备操作资质； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 42.7852em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">2) 严格按操作票逐项操作； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 44.0852em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">3) 必须穿戴劳保用具； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 45.3852em; z-index:602; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">4) 进户隔离刀闸操作指派授权人员进行（必须在切断该线路所有负荷情况下操作</span><span class="stl_21 stl_08 stl_24">）</span><span class="stl_21 stl_08 stl_24">； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 46.6852em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">5) 作业前后清点工具； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 47.9851em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">6) 作业现场严禁吸烟、饮水、食用零食； &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 49.2851em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.8333em;">7) 酒精瓶未用完不放置现场，现场配备足够灭火器。 &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 50.5851em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0.28em;">8. 许可开始工作时间： &nbsp;</span></div>
					<div class="stl_01" style="left:7.41em;top: 51.8854em; "><span class="stl_21 stl_08 stl_12">工作许可人签名： &nbsp;</span></div>
					<div class="stl_01" style="left:15.87em;top: 50.5855em; "><span class="stl_21 stl_08 stl_12">年</span></div>
					<div class="stl_01" style="left:18.495em;top: 50.5855em; "><span class="stl_21 stl_08 stl_12">月</span></div>
					<div class="stl_01" style="left:21.12em;top: 50.5855em; "><span class="stl_21 stl_08 stl_12">日</span></div>
					<div class="stl_01" style="left:23.745em;top: 50.5855em; "><span class="stl_21 stl_08 stl_12">时</span></div>
					<div class="stl_01" style="left:26.37em;top: 50.5855em; "><span class="stl_21 stl_08 stl_12">分</span></div>
					<div class="stl_01" style="left:26.37em;top: 53.1854em; "><span class="stl_21 stl_08 stl_12">时</span></div>
					<div class="stl_01" style="left:16.41em;top: 51.8854em; "><span class="stl_21 stl_08 stl_12">工作负责人（监护人）签名： &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 53.1854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:-0.22em;">9. 工作票延期：有效期延长到： &nbsp;</span></div>
					<div class="stl_01" style="left:7.91em;top: 54.4854em; "><span class="stl_21 stl_08 stl_12">工作许可人签名： &nbsp;</span></div>
					<div class="stl_01" style="left:18.495em;top: 53.1854em; "><span class="stl_21 stl_08 stl_12">年</span></div>
					<div class="stl_01" style="left:21.12em;top: 53.1854em; "><span class="stl_21 stl_08 stl_12">月</span></div>
					<div class="stl_01" style="left:23.745em;top: 53.1854em; "><span class="stl_21 stl_08 stl_12">日</span></div>
					<div class="stl_01" style="left:28.995em;top: 53.1854em; "><span class="stl_21 stl_08 stl_12">分</span></div>
					<div class="stl_01" style="left:16.91em;top: 54.4854em; "><span class="stl_21 stl_08 stl_12">工作负责人（监护人）签名： &nbsp;</span></div>
					<div class="stl_01" style="left:15.87em;top: 55.7854em; "><span class="stl_21 stl_08 stl_12">组已拆除。 &nbsp;</span></div>
					<div class="stl_01" style="left:7.41em;top: 57.0854em; "><span class="stl_21 stl_08 stl_12">工作班人员已全部撤离，现场已清理完毕。 &nbsp;</span></div>
					<div class="stl_01" style="left:7.41em;top: 58.3854em; "><span class="stl_21 stl_08 stl_12">全部工作于 &nbsp;</span></div>
					<div class="stl_01" style="left:7.91em;top: 59.6854em; "><span class="stl_21 stl_08 stl_12">工作许可人签名： &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 60.9854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:0em;">12、备 注：___________________________________________________________________________ &nbsp;</span></div>
					<div class="stl_01" style="left:5.91em;top: 55.7854em; "><span class="stl_21 stl_08 stl_12" style="word-spacing:-0.22em;">10. 工作结束：接地线共 &nbsp;</span></div>
					<div class="stl_01" style="left:13.035em;top: 58.3854em; "><span class="stl_21 stl_08 stl_12">年</span></div>
					<div class="stl_01" style="left:15.66em;top: 58.3854em; "><span class="stl_21 stl_08 stl_12">月</span></div>
					<div class="stl_01" style="left:18.285em;top: 58.3854em; "><span class="stl_21 stl_08 stl_12">日</span></div>
					<div class="stl_01" style="left:20.91em;top: 58.3854em; "><span class="stl_21 stl_08 stl_12">时</span></div>
					<div class="stl_01" style="left:23.535em;top: 58.3854em; "><span class="stl_21 stl_08 stl_12">分结束。 &nbsp;</span></div>
					<div class="stl_01" style="left:16.91em;top: 59.6854em; "><span class="stl_21 stl_08 stl_12">工作负责人（监护人）签名： &nbsp;</span></div>
					<div class="stl_01" style="left:43.31em;top: 64.5654em; "><span class="stl_21 stl_08 stl_12">21 &nbsp;</span></div>
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